CENTER FOR COSMETIC MEDICINE, LTD.
NPI 1104033794
Specialist in Decatur, IL

Q: What is Center For Cosmetic Medicine, Ltd.'s NPI number?

The NPI number for Center For Cosmetic Medicine, Ltd. is 1104033794. It was assigned to this organization in the NPPES registry on May 16, 2007.

Q: What is Center For Cosmetic Medicine, Ltd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 16, 2007

2 MEMORIAL DR STE 310, DECATUR, IL 62526(217) 877-9000(217) 877-9615 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Center For Cosmetic Medicine, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR COSMETIC MEDICINE, LTD. (NPI 1104033794) is a healthcare organization registered as a specialist in Decatur, Illinois and active in the NPI registry since May 2007. The organization lists Stuart F. Baker, President, as its authorized official.

NPPES Registry Identity

NPI1104033794

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCENTER FOR COSMETIC MEDICINE, LTD.

Location Address2 MEMORIAL DR STE 310Decatur, IL 62526-3983

Mailing Address2 Memorial Dr Ste 310Decatur, IL 62526-3983 · (217) 877-9000 · Fax (217) 877-9615

Phone(217) 877-9000

Fax(217) 877-9615

Organization SubpartNo

Authorized OfficialStuart F. BakerPresident · (217) 877-9000

Enumeration DateMay 16, 2007

Last NPPES UpdateOctober 17, 2013

✔ NPI 1104033794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036060776

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 MEMORIAL DR STE 310, Decatur, IL 62526

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Other Identifiers 3

Medicaid036060776IL

Medicare UPIND14445IL

Medicare ID-Type Unspecified210924IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STUART FLINT BAKER V M.D.

Plastic Surgery

2 MEMORIAL DR STE 310
DECATUR, IL 62526

Macon County (217) 877-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Cosmetic Medicine, Ltd.'s NPI number?

The NPI number for Center For Cosmetic Medicine, Ltd. is 1104033794. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Center For Cosmetic Medicine, Ltd. located?

Center For Cosmetic Medicine, Ltd. is located at 2 Memorial Dr Ste 310, Decatur, IL 62526. The listed phone number is (217) 877-9000.

What is Center For Cosmetic Medicine, Ltd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Center For Cosmetic Medicine, Ltd. was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.